Segel, Mark C

Segel, Mark C is an individual health care provider with primary practice located at 36175 Harper Ave , Clinton Township MI 48035-3274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Segel, Mark C can be contacted via phone (586) 741-3772.

Contact Information

Primary practice address
36175 Harper Ave Clinton Township MI 48035-3274
Phone: (586) 741-3772
Fax: (586) 741-4604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301050063 Michigan

Profile Details

NPI number 1215916382
LBN Legal business name Segel, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Apr 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215916382 NPPES
Michigan Other 139218 GREAT LAKES HEALTH
Michigan MEDICAID 4462255 GREAT LAKES HEALTH
Michigan Other 1006439 GREAT LAKES HEALTH
Michigan Other 0H26188 GREAT LAKES HEALTH
Michigan Other 0Q26008 GREAT LAKES HEALTH

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